Laserfiche WebLink
i <br /> NOTE: PULL AI11--211 _ <br /> MITS (Septic, Well, etc.) MAKEdPIES FOR FILE <br /> ti. <br /> LAND USE REPORT RECORD ID: SU0005122 <br /> DATE RECEIVED by EHD: June 24,2005 APPL#: PA-0500386 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2690 <br /> LOT LINT;ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ASARM <br /> f (} <br /> Assigned to : EE0005366 MEDINA , <br /> SITE ADDRESS: 706 W LUCAS RD,LODI APN: 01504035 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal,water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> e of Purveyor Name of System <br /> SUMMARY OR COMMENf5Z-G .cx-Q <br /> i <br /> L <br /> k <br /> aa.oa <br /> CIO <br /> P <br /> [ recommend: Approval / Denial El Continuance ❑ Inspe or: r <br /> ignature <br /> p <br /> Supervisor/Lead Senior COMMENTS: <br /> i <br /> 4l <br /> k <br /> 1 <br /> v <br /> f SUPERVISOR/LEAD SENIOR Approval: <br /> ,0�1►gGlre Ic ff�lrs� �ea `�� © .. � � <br /> AMR <br /> .- <br /> u I, <br /> oa <br /> EH 06 06 Report 47201 June 27,2005 <br /> ` -- ®— <br />